Scott R. Fuller, DO

Anesthesiology Physician · Canton, OH

Individual Active NPI

NPI number 1053348250

Practice location

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone
(330) 489-1000

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NPI record

NPI
1053348250
Entity type
Individual (Type 1)
Enumeration date
June 26, 2006
Last updated
November 7, 2024
Certified
November 7, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiology Physician Primary 207L00000X 34.008827 OH
Emergency Medicine Physician 207P00000X 34008827 OH

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001

About Dr. Fuller

Scott R. Fuller, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiology Physician (code 207L00000X). The practice location is 1320 Mercy Dr NW, Canton, OH 44708-2614. The NPI number 1053348250 was assigned on June 26, 2006 and the record was last updated on November 7, 2024.

Dr. Fuller lists 2 licenses in the registry: #34.008827 (OH) for Anesthesiology Physician; #34008827 (OH) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott R. Fuller, DO?

The NPI number is 1053348250.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (330) 489-1000.

Where is Dr. Fuller located?

1320 Mercy Dr NW, Canton, OH 44708-2614.

What is the taxonomy code for Dr. Fuller?

The primary taxonomy code is 207L00000X – Anesthesiology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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